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Forms Can Be Submitted via Email to lmcconologuePtownofwapRi�m �.ov or
&ro �tnson�dtown�ofwa �incm�.ov or in personJvia mail to 20 Middlebush Rd Wappingers Falls, N 12594
FOR INTERNAL USE ONLY
Received by: Joseph P. Paoloni 0
Lori McConologue tN�
Grace Robinson 71
Date Received:
FOIL Ser. #:
ASSESSOR
11
ACCOUNTING
F-1
CODE ENFORCEMENT
HIGHWAY
RECEIVER OF TAXES
RECREATION
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SUPERVISOR
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TOWN CLERK
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WATER/SEWER
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DOG CONTROL OFFICER F-1
TOWN ENGINEER
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TOWN ATTORNEY
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Agency or firm:
Telephone #:
Email address:
TOWN OF WAPPINGER
A cation for Public Access to Records
C 1-10
9-e p FOIL REO UEST
FOR DEPARTMENT USE QNLY
Date Received by Dept
Department Head approval:
Date Applicant Contacted: 07/ of
Date! FOIL fulfilled or denied:
Closed by: LZ
Date:
Notes:
,
Amount Due: -- Pages for a total of S
®check here if you are
requesting that the records
be mailed to this address.
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SPECIFIC 9ESCRIPTION OF RECORD:
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FORMAT OF RECORD (if available) it I
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I request to be notified when I can come to inspect the record(s) described above
I request copies of the records described above and agree to pay the cost of such records in
accordance with the fee schedule an the back of this application
1request that the records be sent via e-mail to the address listed above
I request that the records be faxed to the number listed above